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Haematology Specialist Services

Our services


Disease-specific clinics offered

Acute lymphoblastic leukaemia

This dedicated clinic focusses on both B and T cell acute lymphoblastic leukaemia.

Bleeding disorders

We run a number of dedicated bleeding disorder clinics within the region’s Comprehensive Care Centre for haemophilia. We look after patients with haemophilia, von Willebrand disease, platelet function disorders as well as other rare acquired and inherited bleeding disorders.

Bone marrow failure

Bone marrow failure encompasses mainly patients with acute leukaemia, aplastic anaemia and myelodysplasia along with other disorders which result in impaired bone marrow function.

CAR T-cell service

Chimeric antigen receptor T-cell therapy involves reprogramming patient’s own T cells to fight cancer. It is a highly specialist type of therapy offered to patients with haematological malignancy.

Chronic lymphocytic leukaemia

This clinic is dedicated to patients with chronic lymphocytic leukaemia but we also see patients with other rarer forms of chronic leukaemia such as hairy cell leukaemia and T cell leukaemias.

Histiocytosis

These are a rare group of disorders affecting macrophages and histiocytes which are cells of the immune system.

Immunodeficiency

We work with colleagues in immunology to review adult patients with primary immunodeficiencies to provide a supra-regional assessment service for bone marrow transplant assessment.

Immuno-haematology

In this clinic we care for patients with immune thrombocytopenia (ITP) and immune-mediated haemolytic anaemias.

Lymphoma

Lymphoma is a cancer of the lymph glands. We see patients with all types of lymphoma in our clinic and offer both day case and in patient chemotherapy options when required.

Myeloma

Myeloma is a cancer of plasma cells (a kind of white blood cell) which are part of the immune system. In our myeloma clinic we see and treat a number of different plasma cell cancers including myeloma, plasmacytoma and amyloidosis.

Myeloproliferative neoplasms

These conditions result in blood counts being too high. We specialise in chronic myeloid leukaemia, essential thrombocytosis, polycythaemia vera and myelofibrosis. We also see patients with rarer disorders such as mastocytosis and eosinophilia. We also coordinate venesection from this clinic.

Obstetric haematology

Along with obstetricians we run a dedicated obstetric haematology service, seeing patients with haematological conditions and those on anticoagulation.

Paediatric haematology

There is a dedicated paediatric team who run a range of clinics in addition to supporting the laboratory diagnosis of both malignant and non-malignant paediatric haematology disorders.

Red cell disorders

We offer a dedicated clinic for patients with red cell disorders. This includes patients with sickle cell diseases and other haemoglobinopathies as well as thalassaemia and other rare anaemias.

Stem cell/bone marrow transplant

This involves infusing stem cells collected from the patient or a donor. We perform bone marrow transplants for a wide range of malignant and non-malignant conditions.

Thrombosis

We run two medical thrombosis clinics per week. One is dedicated to the care of patients with pulmonary embolism and is a joint clinic with colleagues from respiratory medicine. The other is a general thrombosis clinic mainly caring for patients with deep vein thrombosis and other rarer thrombotic disorders.

 

Supportive care services

Apheresis

Apheresis involves the collection, separation and return of cells and fluids in the blood. This may include collecting stem cells for patients donating for transplant purposes or exchanging red cells in patients with sickle cell diseases

Bone marrow biopsies

A bone marrow biopsy involves taking a small sample of the bone marrow which is the factory that makes all of the blood cells. We provide a routine and emergency service for performing bone marrow biopsies.

Chemotherapy and supportive therapies day unit

We provide day unit space for the administration of chemotherapy and other supportive infusions such as coagulation factors, immunoglobulin therapy, antibody therapy and blood transfusion. We also have space to review new and existing patients as well as perform practical procedures.

Intrathecal chemotherapy

Intrathecal chemotherapy involves injecting chemotherapy into the fluid around the spine. It is given for patients with haematological malignancies affecting the nervous system or to prevent this from occurring.

GP Advice and Guidance

We participate in the Advice and Guidance service. We aim to reply to all GP Advice and Guidance requests within 48 hours but an answer will often come sooner.

 

Laboratory haematology

Haematologists are dual trained in clinical and laboratory haematology and so have input in the safe running of haematology and transfusion laboratories in the hospital. We report blood film and bone marrow biopsy samples as well as provide interpretative comments on other specialist tests. For more information on laboratory haematology see https://www.newcastlelaboratories.com/

NEHODS

The Northern England Haemato-Onology Diagnostic Service (NEHODS) brings together expertise in haematology, flow cytometry, cytogenetics, molecular genetics and immunophenotyping. With a centralised specimen reception at the Royal Victoria Infirmary and integrated laboratory services, NEHODS aims to improve outcomes for patients within Northern England by providing cost-effective and timely results for diagnosis, prognostication and monitoring of haematological malignancies. We provide fully integrated laboratory reports for Clinical Haematologists across the region.

Transfusion

Transfusion of blood products is an essential part of the safe running of the hospital. Haematologists are involved with implementing safe transfusion policy and offering transfusion advice out of hours.

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